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The comparison between the outcome of Doppler-guided haemorrhoidectomy and other types of haemorrhoid surgery

Massoumeh Kalantari, SA Alizadeh, S Darvish Shafighi
Published in : HAMDAN MEDICAL JOURNAL ; Vol 7, No 2 (2014)
DOI : 10.7707/hmj.v7i2.302

Abstract


The most common rectal disease is haemorrhoids and treatments include medical management and surgical repair. A new method of treatment applies a proctoscope and a Doppler adaptor for haemorrhoid artery ligation (HAL). In this study, patients with haemorrhoid grades 2, 3 and 4 were operated through the common method of haemorrhoid surgery or Doppler-guided haemorrhoidectomy. Patient data were recorded on a checklist and the patients were followed up at week 1 and months 1, 3 and 6 postoperatively. A total of 300 patients participated in this study and were allocated to the HAL (case) group or to the haemorrhoidectomy (control) group. The most common symptom of the disease in both groups was bleeding and the most common postoperative complication was pain during defecation. Overall, 2.3% of the patients in the case group and 15.7% of the patients in the control group underwent reoperation. Doppler-guided haemorrhoidectomy is an effective, minimally invasive method of surgery resulting in mild pain and fewer complications, and can be applied as the treatment of choice in the case of symptomatic haemorrhoids.

 


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